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Impact of hospital lockdown secondary to COVID-19 and past pandemics on surgical practice: A living rapid systematic review

BACKGROUND: The COVID-19 pandemic has disrupted surgical practice worldwide. There is widespread concern for surgeon and provider safety, and the implications of hospital lockdown on patient care during epidemics. METHODS: Medline, EMBASE, CENTRAL, and PubMed were systematically searched from databa...

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Autores principales: Lee, Yung, Kirubarajan, Abirami, Patro, Nivedh, Soon, Melissa Sam, Doumouras, Aristithes G., Hong, Dennis
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier Inc. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7657940/
https://www.ncbi.nlm.nih.gov/pubmed/33218675
http://dx.doi.org/10.1016/j.amjsurg.2020.11.019
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author Lee, Yung
Kirubarajan, Abirami
Patro, Nivedh
Soon, Melissa Sam
Doumouras, Aristithes G.
Hong, Dennis
author_facet Lee, Yung
Kirubarajan, Abirami
Patro, Nivedh
Soon, Melissa Sam
Doumouras, Aristithes G.
Hong, Dennis
author_sort Lee, Yung
collection PubMed
description BACKGROUND: The COVID-19 pandemic has disrupted surgical practice worldwide. There is widespread concern for surgeon and provider safety, and the implications of hospital lockdown on patient care during epidemics. METHODS: Medline, EMBASE, CENTRAL, and PubMed were systematically searched from database inception to July 1, 2020 and ongoing monthly surveillance will be conducted. We included studies that assessed postoperative patient outcomes or protection measures for surgical personnel during epidemics. RESULTS: We included 61 studies relevant to the COVID-19 pandemic and past epidemics. Lockdown measures were noted globally including cancellation of elective surgeries and outpatient clinics. The pooled postoperative complication rate during epidemics was 21.0% among 2095 surgeries. 31 studies followed the health of surgical workers with the majority noting no adverse outcomes with proper safety measures. CONCLUSIONS: This review highlights postoperative patient outcomes during worldwide epidemics including the COVID-19 pandemic and identifies specific safety measures to minimize infection of healthcare workers.
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spelling pubmed-76579402020-11-12 Impact of hospital lockdown secondary to COVID-19 and past pandemics on surgical practice: A living rapid systematic review Lee, Yung Kirubarajan, Abirami Patro, Nivedh Soon, Melissa Sam Doumouras, Aristithes G. Hong, Dennis Am J Surg Review Article BACKGROUND: The COVID-19 pandemic has disrupted surgical practice worldwide. There is widespread concern for surgeon and provider safety, and the implications of hospital lockdown on patient care during epidemics. METHODS: Medline, EMBASE, CENTRAL, and PubMed were systematically searched from database inception to July 1, 2020 and ongoing monthly surveillance will be conducted. We included studies that assessed postoperative patient outcomes or protection measures for surgical personnel during epidemics. RESULTS: We included 61 studies relevant to the COVID-19 pandemic and past epidemics. Lockdown measures were noted globally including cancellation of elective surgeries and outpatient clinics. The pooled postoperative complication rate during epidemics was 21.0% among 2095 surgeries. 31 studies followed the health of surgical workers with the majority noting no adverse outcomes with proper safety measures. CONCLUSIONS: This review highlights postoperative patient outcomes during worldwide epidemics including the COVID-19 pandemic and identifies specific safety measures to minimize infection of healthcare workers. Elsevier Inc. 2021-07 2020-11-12 /pmc/articles/PMC7657940/ /pubmed/33218675 http://dx.doi.org/10.1016/j.amjsurg.2020.11.019 Text en © 2020 Elsevier Inc. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Review Article
Lee, Yung
Kirubarajan, Abirami
Patro, Nivedh
Soon, Melissa Sam
Doumouras, Aristithes G.
Hong, Dennis
Impact of hospital lockdown secondary to COVID-19 and past pandemics on surgical practice: A living rapid systematic review
title Impact of hospital lockdown secondary to COVID-19 and past pandemics on surgical practice: A living rapid systematic review
title_full Impact of hospital lockdown secondary to COVID-19 and past pandemics on surgical practice: A living rapid systematic review
title_fullStr Impact of hospital lockdown secondary to COVID-19 and past pandemics on surgical practice: A living rapid systematic review
title_full_unstemmed Impact of hospital lockdown secondary to COVID-19 and past pandemics on surgical practice: A living rapid systematic review
title_short Impact of hospital lockdown secondary to COVID-19 and past pandemics on surgical practice: A living rapid systematic review
title_sort impact of hospital lockdown secondary to covid-19 and past pandemics on surgical practice: a living rapid systematic review
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7657940/
https://www.ncbi.nlm.nih.gov/pubmed/33218675
http://dx.doi.org/10.1016/j.amjsurg.2020.11.019
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